This issue discusses the concerns of skin disease in the United States and the national clinical dermatology research priorities.? The article topics closely follow the plan set out by the recent dermatology needs assessment of the UK.? Articles include -Health Care Disparities,- and?-The Burden of Skin Disease in the United States.- Other articles also cover?specific conditions such as psoriasis, acne, and melanoma, as well as?dermatologic surgery needs assessment.